Micropulse Transscleral Diode Laser Cyclophotocoagulation in Refractory Glaucoma: Short-Term Efficacy, Safety, and Impact of Surgical History on Outcomes.

Ophthalmology. Glaucoma
Giancarlo A GarciaBrian A Francis

Abstract

To assess the short-term efficacy and safety of micropulse transscleral diode laser cyclophotocoagulation (MP-TSCPC) in the management of refractory glaucoma and to compare outcomes based on prior glaucoma surgeries. Retrospective analysis. Patients with refractory glaucoma who underwent MP-TSCPC at a single institution by 1 of 4 surgeons. Chart review of cases of MP-TSCPC using the Iridex Cyclo G6 (Mountain View, CA) laser with standard parameters and laser duration at the discretion of each treating physician. Probability of postoperative success was estimated by the Kaplan-Meier method. Success parameters included intraocular pressure (IOP) 6 to 21 mmHg with or without topical antihypertensive therapy, 20% or more IOP reduction from baseline for any 2 consecutive visits after 3 postoperative months, and no subsequent glaucoma surgery. One hundred sixteen eyes of 116 patients (mean age, 65.8±16.9 years) were included. Baseline IOP was 22.2±7.9 mmHg, and mean postoperative follow-up time was 6.3±3.4 months (range, 3-12 months.) Postoperative IOP at the final follow up was 15.3±6.6 mmHg (P < 0.01), corresponding to a reduction of approximately 6.9 mmHg (31.1%). Most eyes (66.4%) underwent at least 6 months of follow-up. Short-t...Continue Reading

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Citations

Jan 11, 2020·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Abdulrahman H BadawiSami A Al-Shahwan
Sep 17, 2020·Seminars in Ophthalmology·Nandita AnandDavid Solá-Del Valle
Aug 17, 2021·Journal of Current Glaucoma Practice·Youssef AbdelmassihZiad Khoueir
Oct 26, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Sanchay GuptaDavid A Solá-Del Valle
Oct 26, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Henry Shen-Lih ChenWei-Chi Wu

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